Division of Developmental Disabilities

Vision for the Future – New Health Care Options

Vision for the Future

Presenter: Maureen E. Casey

Assistant Director/Chief Executive Officer

Purpose: To provide a high level overview of DDD’s future vision regarding new integrated health plans

To maintain the integrity of the procurement process, information presented will be limited and questions will not be answered relating to the Integrated Request for Proposal solicitation.

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Overview

The Division of Developmental Disabilities (DDD) is committed to our mission of:

• Empowering Arizonans with developmental disabilities to lead self-directed, healthy and meaningful lives.

o State Funded, Targeted Support Coordination, and Arizona Long Term Care System (ALTCS)

o Solicitation for members who are eligible for Arizona Long Term Care System (ALTCS)

The Division will further it’s mission by offering new health plan options which will provide members integrated services and supports in a more convenient and efficient process, making it easier for members to get the most comprehensive care to address all of their care needs.

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Current State

• For members who are eligible for

Arizona Long Term Care and DDD

services, DDD currently contracts with

Qualified Vendors and specialty

contractors for Long Term Services

and Supports; and health plans for

physical health services.

• Behavioral health services are

provided by Arizona Health Care Cost

Containment System (AHCCCS) who

contracts with health plans.

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What’s Changing

• Beginning, October 1, 2019, AHCCCS will continue to contract

with DDD to oversee all plans for members as the Division moves

to an integrated care model.

• The new health plan options, referred to as DDD Choice Plans

will offer members who are eligible for ALTCS and DDD services,

two distinct service delivery choices currently named:

• DDD Coordinated Plan

• DDD Direct Plan

• These plans will offer integrated physical health care services,

behavioral health care services, and Long Term Services and

Supports (LTSS).

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Benefits of the DDD Choice Plans

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Freedom of Choice

Integrated Approach

Increased Efficiencies

Improved Coordination

Trusted Guidance &

Support

Overview of New DDD Health Plans7

Current Health Plan

Members DDD

Physical Health

Services

Behavioral Health

Services

Long Term Services &

Supports

(Services provided through DES)

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(Services provided through AHCCCS)

Future Health Plans

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Members DDD

Physical & Behavioral

Health Plans

Including Occupational,

Physical & Speech

Language Therapy

Long Term Services &

Supports

DDD COORDINATED PLAN

(Contracted Health Plans

TBD)

(Provided by DDD Qualified

Vendors and Specialty

Contractors)

Support Coordination by DDD

Integrate Physical & Behavioral Health Services

LTSS by QVs & Specialty Contractors

Members

DDD

DDD DIRECT PLAN

Oversight by DDD

All services provided through the Contracted Health Plans

(Oversight and Contracting)

(Oversight, Contracting

and Support Coordination)

DDD CHOICE PLANS

Health

Plan

(TBD)

(Support

Coordination)

Provider NetworksPhysical Health and

Behavioral Health Providers;

Long Term Services &

Supports; Occupational,

Physical & Speech Language

Therapy

(Provided by Health Plan

Contractors)

DDD Coordinated Plan

DDD will coordinate member needs across integrated physical, behavioral and Long Term Services and Supports.

SYSTEM CHANGES

• Contracted health plans will be responsible for the following:

• Physical Health Services

• Behavioral Health Services

• Limited Long Term Services and Supports to include:

o Assistive Technology

o Augmentative Communication Devices and Accessories

o Augmentative Communication Evaluation and Training

o Emergency Alert Systems

o Occupational, Physical, and Speech Language Therapy

o Skilled Nursing Facilities

DDD Coordinated Plan

WHAT WILL CONTINUE

• DDD’s Qualified Vendors and specialty contractors will provide the

remaining Long Term Services and Supports.

• Home-based services, habilitation,

and residential placements will

continue to be provided by

Qualified Vendors.

• DDD will provide support coordination

and work directly with members to

guide the process and ensure the best

outcomes possible for members.

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DDD Direct Plan

A contracted integrated health plan will coordinate member needs

across integrated physical, behavioral and Long Term Services and

Supports.

SYSTEM CHANGES

• The contracted health plan will provide support coordinators and will

coordinate all needs – integrated physical and behavioral health

services, and Long Term Services and Supports through the health

plans’ Provider Network.

• Home-based services, habilitation, and residential placements will

be provided by the health plans’ Provider Network.

• DDD will provide oversight and monitoring of the contracted health

plan.

DDD Direct Plan

WHAT WILL CONTINUE

• DDD will continue to manage any services not offered by

the contracted health plan, such as:

o Arizona Early Intervention Program services

o State-operated Intermediate Care Facilities,

Group Homes, and Developmental Homes

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Timing

• DDD Coordinated: This plan is available to members

beginning October 1, 2019.

• DDD Direct: Members will have the choice of staying

with the DDD Coordinated Plan or moving to the DDD

Direct Plan in 2020.

• Both plans continue through the life of the contract.

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Our Commitment15

Our Commitment

To continue to further our mission to empower Arizonans with

developmental disabilities to lead self-directed, healthy and meaningful

lives DDD is committed to upholding the guiding principles of our program:

• Member-Centered Support Coordination

• Employment First Philosophy

• Member-Directed Options for Accessing Cost-Effective, Covered Services

• Consistency of Services and Supports

• Accessibility of Network

• Most Integrated Setting

• Collaboration with Stakeholders

• Alignment of Care

• Integrated Services

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Our Commitment

To ensure successful transitions of each health plan, DDD is

committed to:

• Ongoing communication with members, families, DDD team members, and

external stakeholders.

• Collaboration and engagement of members, families, DDD team members,

and external stakeholders.

• Ongoing continuous improvement efforts to improve the quality of services

and supports, coordination of care, and oversight of contractors. 17

Thank You!